The Epidemiology, Clinical Manifestations, Radiology, Microbiology, Treatment, and Prognosis of Echinococcosis: Results of NENEHATUN Study
Aim: Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-u...
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Veröffentlicht in: | Vector borne and zoonotic diseases (Larchmont, N.Y.) N.Y.), 2021-12, Vol.21 (12), p.948-954 |
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creator | Parlak, Emine Kerget, Ferhan Demirdal, Tuna Şen, Pınar Ulaş, Ali Bilal Öztürk Durmaz, Şenay Pekok, Umut Ertürk, Ayşe Akyol, Deniz Kepenek Kurt, Esma Köksal Alay, Handan Pullukçu, Hüsnü Taşbakan, Meltem Erol, Serpil Laloğlu, Esra Öztürk Engin, Derya Ağalar, Canan Parlak, Mehmet |
description | Aim:
Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis.
Methods:
A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively.
Results:
Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 ± 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients.
Echinococcus granulosus
(72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5–10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients.
Conclusion:
Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important. |
doi_str_mv | 10.1089/vbz.2021.0029 |
format | Article |
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Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis.
Methods:
A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively.
Results:
Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 ± 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients.
Echinococcus granulosus
(72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5–10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients.
Conclusion:
Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important.</description><identifier>ISSN: 1530-3667</identifier><identifier>EISSN: 1557-7759</identifier><identifier>DOI: 10.1089/vbz.2021.0029</identifier><identifier>PMID: 34647813</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Acoustics ; Adult ; Albendazole ; Animals ; Antiparasitic agents ; Cough ; Cysts ; Echinococcosis ; Echinococcosis - diagnosis ; Echinococcosis - drug therapy ; Echinococcosis - epidemiology ; Echinococcus granulosus ; Enzyme-Linked Immunosorbent Assay ; Epidemiology ; Female ; Health problems ; Health services ; Hemagglutination ; Humans ; Indirect hemagglutination ; Male ; Microbiology ; Middle Aged ; Original Articles ; Pain ; Patients ; Prognosis ; Public health ; Radiology ; Retrospective Studies ; Rural areas ; Serology ; Signs and symptoms ; Spleen ; Turkey - epidemiology ; Zoonoses</subject><ispartof>Vector borne and zoonotic diseases (Larchmont, N.Y.), 2021-12, Vol.21 (12), p.948-954</ispartof><rights>2021, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright Mary Ann Liebert, Inc. Dec 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-e60377b4b3afd7e6d0fbdf08324dcae2b19d1082c5485603ba3cb88b2bc34bc63</citedby><cites>FETCH-LOGICAL-c365t-e60377b4b3afd7e6d0fbdf08324dcae2b19d1082c5485603ba3cb88b2bc34bc63</cites><orcidid>0000-0001-8912-6360</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34647813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parlak, Emine</creatorcontrib><creatorcontrib>Kerget, Ferhan</creatorcontrib><creatorcontrib>Demirdal, Tuna</creatorcontrib><creatorcontrib>Şen, Pınar</creatorcontrib><creatorcontrib>Ulaş, Ali Bilal</creatorcontrib><creatorcontrib>Öztürk Durmaz, Şenay</creatorcontrib><creatorcontrib>Pekok, Umut</creatorcontrib><creatorcontrib>Ertürk, Ayşe</creatorcontrib><creatorcontrib>Akyol, Deniz</creatorcontrib><creatorcontrib>Kepenek Kurt, Esma</creatorcontrib><creatorcontrib>Köksal Alay, Handan</creatorcontrib><creatorcontrib>Pullukçu, Hüsnü</creatorcontrib><creatorcontrib>Taşbakan, Meltem</creatorcontrib><creatorcontrib>Erol, Serpil</creatorcontrib><creatorcontrib>Laloğlu, Esra</creatorcontrib><creatorcontrib>Öztürk Engin, Derya</creatorcontrib><creatorcontrib>Ağalar, Canan</creatorcontrib><creatorcontrib>Parlak, Mehmet</creatorcontrib><title>The Epidemiology, Clinical Manifestations, Radiology, Microbiology, Treatment, and Prognosis of Echinococcosis: Results of NENEHATUN Study</title><title>Vector borne and zoonotic diseases (Larchmont, N.Y.)</title><addtitle>Vector Borne Zoonotic Dis</addtitle><description>Aim:
Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis.
Methods:
A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively.
Results:
Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 ± 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients.
Echinococcus granulosus
(72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5–10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients.
Conclusion:
Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important.</description><subject>Acoustics</subject><subject>Adult</subject><subject>Albendazole</subject><subject>Animals</subject><subject>Antiparasitic agents</subject><subject>Cough</subject><subject>Cysts</subject><subject>Echinococcosis</subject><subject>Echinococcosis - diagnosis</subject><subject>Echinococcosis - drug therapy</subject><subject>Echinococcosis - epidemiology</subject><subject>Echinococcus granulosus</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health problems</subject><subject>Health services</subject><subject>Hemagglutination</subject><subject>Humans</subject><subject>Indirect hemagglutination</subject><subject>Male</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Original Articles</subject><subject>Pain</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Public health</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Rural areas</subject><subject>Serology</subject><subject>Signs and symptoms</subject><subject>Spleen</subject><subject>Turkey - epidemiology</subject><subject>Zoonoses</subject><issn>1530-3667</issn><issn>1557-7759</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0ctu1DAUBmALUdELLNkiS2xYTAZf4thhV41SWqkdUJmuI9_SukrswU6QhkfgqXGYDotuurJ9_OnIPj8A7zFaYiTqz7_U7yVBBC8RIvUrcIIZ4wXnrH497ykqaFXxY3Ca0mMWWGD2BhzTsiq5wPQE_Nk8WNhsnbGDC3243y3gqnfeadnDG-ldZ9MoRxd8WsBbaQ7mxukY1OG0iVaOg_XjAkpv4PcY7n1ILsHQwUY_OB900HqufIG3Nk39-O9q3ayby_PN3Rr-GCezewuOOtkn--5pPQN3F81mdVlcf_t6tTq_LjSt2FjYClHOVamo7Ay3lUGdMh0SlJRGS0sUrk2eDNGsFCxbJalWQiiiNC2VrugZ-LTvu43h55T_1w4uadv30tswpZYwQTAmrKwz_fiMPoYp-vy6llS4JAwLzrMq9irPJKVou3Yb3SDjrsWonUNqc0jtHFI7h5T9h6eukxqs-a8PqWRA92AuS-97Z5WN4wtt_wIGKp9I</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Parlak, Emine</creator><creator>Kerget, Ferhan</creator><creator>Demirdal, Tuna</creator><creator>Şen, Pınar</creator><creator>Ulaş, Ali Bilal</creator><creator>Öztürk Durmaz, Şenay</creator><creator>Pekok, Umut</creator><creator>Ertürk, Ayşe</creator><creator>Akyol, Deniz</creator><creator>Kepenek Kurt, Esma</creator><creator>Köksal Alay, Handan</creator><creator>Pullukçu, Hüsnü</creator><creator>Taşbakan, Meltem</creator><creator>Erol, Serpil</creator><creator>Laloğlu, Esra</creator><creator>Öztürk Engin, Derya</creator><creator>Ağalar, Canan</creator><creator>Parlak, Mehmet</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7SS</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8912-6360</orcidid></search><sort><creationdate>20211201</creationdate><title>The Epidemiology, Clinical Manifestations, Radiology, Microbiology, Treatment, and Prognosis of Echinococcosis: Results of NENEHATUN Study</title><author>Parlak, Emine ; Kerget, Ferhan ; Demirdal, Tuna ; Şen, Pınar ; Ulaş, Ali Bilal ; Öztürk Durmaz, Şenay ; Pekok, Umut ; Ertürk, Ayşe ; Akyol, Deniz ; Kepenek Kurt, Esma ; Köksal Alay, Handan ; Pullukçu, Hüsnü ; Taşbakan, Meltem ; Erol, Serpil ; Laloğlu, Esra ; Öztürk Engin, Derya ; Ağalar, Canan ; Parlak, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-e60377b4b3afd7e6d0fbdf08324dcae2b19d1082c5485603ba3cb88b2bc34bc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acoustics</topic><topic>Adult</topic><topic>Albendazole</topic><topic>Animals</topic><topic>Antiparasitic agents</topic><topic>Cough</topic><topic>Cysts</topic><topic>Echinococcosis</topic><topic>Echinococcosis - diagnosis</topic><topic>Echinococcosis - drug therapy</topic><topic>Echinococcosis - epidemiology</topic><topic>Echinococcus granulosus</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health problems</topic><topic>Health services</topic><topic>Hemagglutination</topic><topic>Humans</topic><topic>Indirect hemagglutination</topic><topic>Male</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Original Articles</topic><topic>Pain</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Public health</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Rural areas</topic><topic>Serology</topic><topic>Signs and symptoms</topic><topic>Spleen</topic><topic>Turkey - epidemiology</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parlak, Emine</creatorcontrib><creatorcontrib>Kerget, Ferhan</creatorcontrib><creatorcontrib>Demirdal, Tuna</creatorcontrib><creatorcontrib>Şen, Pınar</creatorcontrib><creatorcontrib>Ulaş, Ali Bilal</creatorcontrib><creatorcontrib>Öztürk Durmaz, Şenay</creatorcontrib><creatorcontrib>Pekok, Umut</creatorcontrib><creatorcontrib>Ertürk, Ayşe</creatorcontrib><creatorcontrib>Akyol, Deniz</creatorcontrib><creatorcontrib>Kepenek Kurt, Esma</creatorcontrib><creatorcontrib>Köksal Alay, Handan</creatorcontrib><creatorcontrib>Pullukçu, Hüsnü</creatorcontrib><creatorcontrib>Taşbakan, Meltem</creatorcontrib><creatorcontrib>Erol, Serpil</creatorcontrib><creatorcontrib>Laloğlu, Esra</creatorcontrib><creatorcontrib>Öztürk Engin, Derya</creatorcontrib><creatorcontrib>Ağalar, Canan</creatorcontrib><creatorcontrib>Parlak, Mehmet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Vector borne and zoonotic diseases (Larchmont, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parlak, Emine</au><au>Kerget, Ferhan</au><au>Demirdal, Tuna</au><au>Şen, Pınar</au><au>Ulaş, Ali Bilal</au><au>Öztürk Durmaz, Şenay</au><au>Pekok, Umut</au><au>Ertürk, Ayşe</au><au>Akyol, Deniz</au><au>Kepenek Kurt, Esma</au><au>Köksal Alay, Handan</au><au>Pullukçu, Hüsnü</au><au>Taşbakan, Meltem</au><au>Erol, Serpil</au><au>Laloğlu, Esra</au><au>Öztürk Engin, Derya</au><au>Ağalar, Canan</au><au>Parlak, Mehmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Epidemiology, Clinical Manifestations, Radiology, Microbiology, Treatment, and Prognosis of Echinococcosis: Results of NENEHATUN Study</atitle><jtitle>Vector borne and zoonotic diseases (Larchmont, N.Y.)</jtitle><addtitle>Vector Borne Zoonotic Dis</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>21</volume><issue>12</issue><spage>948</spage><epage>954</epage><pages>948-954</pages><issn>1530-3667</issn><eissn>1557-7759</eissn><abstract>Aim:
Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis.
Methods:
A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively.
Results:
Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 ± 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients.
Echinococcus granulosus
(72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5–10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients.
Conclusion:
Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>34647813</pmid><doi>10.1089/vbz.2021.0029</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8912-6360</orcidid></addata></record> |
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subjects | Acoustics Adult Albendazole Animals Antiparasitic agents Cough Cysts Echinococcosis Echinococcosis - diagnosis Echinococcosis - drug therapy Echinococcosis - epidemiology Echinococcus granulosus Enzyme-Linked Immunosorbent Assay Epidemiology Female Health problems Health services Hemagglutination Humans Indirect hemagglutination Male Microbiology Middle Aged Original Articles Pain Patients Prognosis Public health Radiology Retrospective Studies Rural areas Serology Signs and symptoms Spleen Turkey - epidemiology Zoonoses |
title | The Epidemiology, Clinical Manifestations, Radiology, Microbiology, Treatment, and Prognosis of Echinococcosis: Results of NENEHATUN Study |
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